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CODING GUIDELINES
Code this!!
ICD-10-CM Chapter 1
ICD-10-CM Chapters 2 and 3
Miscellaneous
100

This single code is used to classify

two diagnoses, or

a diagnosis with an associated secondary process (manifestation code), or a diagnosis with an associated complication

What is a combination code?
100
The provider documents use, abuse, and dependence of opiods on this patient.  When coding this the coder should use________________________

What is the code for dependence?

Coding guideline Chapter 5.b.2

100

True or false


If the patient has sepsis and difficulty breathing, severe sepsis should be assigned.

What is false?
100

True or false

Leukemia is not coded from the Neoplasm Table, but rather indexed under the ?term Leukemia.

What is true?
100
this abbreviation stands for Clinical Modification.
What is the CM in ICD-10-CM?
200
This numbered character provides further specificity about the condition being coded.
What is the 7th character?
200
The patient is admitted for pain related to cancer.  The coder should code____________, as principal dx, and __________________ as secondary dx.
What is pain and underlying (cancer) condition
200
The coding of sepsis requires this number of code/codes?
What is minimum, two?
200
The term "mass" is considered a neoplastic growth unless the provider documents it as benign.
What is false?
200
When a primary malignancy has been previously excised or eradicated from its site, there is no further treatment (of the malignancy) directed to that site, and there is no evidence of any existing primary malignancy the code assignment of ____________________ should be used to indicate the former site of the malignancy.
Personal history of malignant neoplasm.
300
When this note appears, it is acceptable to code both conditions.
What is "Excludes 2" note?
300

True or False

If a condition originates in the perinatal period, and continue throughout the life of the patient, the perinatal code should continue to be used regardless of the patient's age.

What is true?
300
The sequela is the residual effect after the acute phase of injuries only.
What is false? Sequela is for an injury or illness.
300
Melanoma __-_____ has a unique category in ICD-10-CM.
What is in-situ?
300
Use this when the information in the medical record provides detail for a specific code that?does not exist.
What is “other” or “other specified?"
400
It is a "pure excludes" note.
What is "Excludes 1" note.
400

Doctor has document Stage 3 CKD and ESRD, how would the coder code this?

Stages of CKD

Stage 2-Code N18.2, mild CKD

Stage 3- Code N18.3,moderate CKD

Stage 4- Code N18.4, severe CKD

ESRD- Code N18.6

What is N18.6?

Coding guideline 14.a.1

400
If the patient is admitted for an HIV __________ ________, the primary diagnosis should be B20.
What is related condition?
400
When the patient presents solely for the treatment of anemia associated with malignancy, the __________ is sequenced first followed by the appropriate code for the ________?
What is malignancy, anemia?
400
The patient is seen for muscle atrophy after a previous bout with encephalitis. The condition or nature of the sequela is coded_______.
What is first?
500

True or false

In ICD-10-CM all inclusion notes ?contain all conditions for which a particular code number is to be used and are considered to be “exhaustive.”

What is false? Inclusion notes contain terms that are the condition for which that code number is to be used. The terms may be synonyms of the code title, or in the case ?of “other specified” codes, the terms are a list of various conditions assigned to that code. The inclusion terms ?are not necessarily exhaustive.
500

Patient is admitted for treatment of external multiple burns.

The sequencing for this code assignment is __________

What is the code that reflects the burn of the highest degree first?
500
For a diagnosis of sepsis, assign the appropriate code for the ___________ condition.
What is underlying?
500
The patient has esophageal cancer and is treated only for dehydration. The __________ is coded first, followed by _____________.
What is dehydration, esophageal cancer? ICD-10-CM chapter-specific guideline ?for neoplasms states that when the encounter is for management of dehydration due to the malignancy ?or the therapy, or a combination of both, and only the dehydration is being treated, the dehydration is sequenced first, followed by the code(s) for the malignancy.
500
These malignant neoplasms should be classifed to .8 unless the combination is indexed elsewhere.
What is a primary malignant neoplasm that overlaps two or more contiguous sites.